KING KULLEN PHARMACIES CORP (NPI# 1104128693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104128693 |
| Entity Type | Organization |
| Organization Name | KING KULLEN PHARMACIES CORP |
| Practice Address |
185 Central Ave Bethpage NY 11714-3927 |
| Practice Telephone | 5167337100 |
| Practice Fax Number | 5168276263 |
| Mailing Telephone | 5167337100 |
| Mailing Fax Number | 5168276263 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MR. ALBERT W HESSE JR. (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5167337196 |
| Authorized Official Credential | RPH. |
| Is Organization Subpart | Y |
| Parent Organization Name | KING KULLEN GROCERY CO. INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 018363 | NY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235267436 | King Kullen Pharmacies Corp | Pharmacy | 1235 Middle Country Rd, Middle Island, NY 11953-2515 | 2007-03-01 |
| 1174671135 | King Kullen Pharmacies Corp | Pharmacy | 31525 Main Rd, Cutchogue, NY 11935-1343 | 2007-01-08 |
| 1902954951 | King Kullen Pharmacies Corp | Pharmacy | 50 New York Ave, Huntington, NY 11743-2199 | 2007-01-08 |
| 1336297399 | King Kullen Pharmacies Corp | Pharmacy | 552 Montauk Hwy, Center Moriches, NY 11934-2207 | 2007-01-08 |
| 1356499313 | King Kullen Pharmacies Corp | Pharmacy | 598 Stewart Ave, Bethpage, NY 11714-2702 | 2007-01-08 |
| 1265580229 | King Kullen Pharmacies Corp | Pharmacy | 3284 Hempstead Tpke, Levittown, NY 11756-1345 | 2007-01-08 |
| 1710035779 | King Kullen Pharmacies Corp | Pharmacy | 460 County Road 111, Manorville, NY 11949-3372 | 2007-01-08 |
| 1629126685 | King Kullen Pharmacies Corp | Pharmacy | 307 Independence Plz, Selden, NY 11784-2400 | 2007-01-08 |
| 1063560027 | King Kullen Pharmacies Corp | Pharmacy | 5507 200 Nesconset Hwy, Mount Sinai, NY 11766-2019 | 2007-01-08 |
| 1861419483 | King Kullen Pharmacies Corp | Pharmacy | 440 E Sunrise Hwy, Patchogue, NY 11772-2254 | 2006-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KING KULLEN PHARMACIES CORP. | 185 Central Ave, Bethpage, Ny 117143929 |
| Street Address |
185 CENTRAL AVE |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104140516 | King Kullen Pharmacies Corp | Pharmacy | 185 Central Ave, Bethpage, NY 11714-3927 | 2010-03-15 |
| 1124293253 | Carmella Errico | Pharmacist | 185 Central Ave, Bethpage, NY 11714-3927 | 2008-04-29 |
| 1104009141 | Albert W. Hesse Jr. | Pharmacist | 185 Central Ave, Bethpage, NY 11714-3927 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356499313 | King Kullen Pharmacies Corp | Pharmacy | 598 Stewart Ave, Bethpage, NY 11714-2702 | 2007-01-08 |
| 1235627183 | Wsnchs North, Inc | Pharmacy | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2018-04-26 |
| 1316001498 | L & C Drug Corp | Pharmacy | 4277 Hempstead Tpke, Bethpage, NY 11714-5709 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.